Cardioembolic stroke from atrial septal aneurysm.

Abstract:

:Atrial septal aneurysm is an uncommon occult cardiac source of cerebral embolism. It is usually asymptomatic, and clinical cardiologic examination and electrocardiography fail to reveal its presence. We report a case of a 34-year-old woman with sudden right hemiplegia and aphasia from occlusion of the left carotid siphon in whom an atrial septal aneurysm was detected by two-dimensional echocardiography. The absence of atherosclerotic risk factors and vascular lesions proximal to the carotid occlusion strengthened a causal relation between atrial septal aneurysm and cerebral infarction. Consequently, two-dimensional echocardiography may be advisable in every patient with unexplained ischemic stroke to detect possible occult embolic cardiac abnormalities.

journal_name

Stroke

journal_title

Stroke

authors

Di Pasquale G,Andreoli A,Grazi P,Dominici P,Pinelli G

doi

10.1161/01.str.19.5.640

subject

Has Abstract

pub_date

1988-05-01 00:00:00

pages

640-3

issue

5

eissn

0039-2499

issn

1524-4628

journal_volume

19

pub_type

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